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Scoring

Hospital Value-Based Purchasing (HVBP)

A hospitals performance in Hospital Value-Based Purchasing (HVBP) is based on measures/dimensions for the domains per fiscal year (FY). The hospitals Total Performance Score (TPS) is composed of the following:

FY 2017 Scoring

Domain

Weight

Clinical Care  Process

5%

Clinical Care  Outcomes

25%

Patient- and Caregiver-Centered Experience of Care/Care Coordination

25%

Safety

20%

Efficiency and Cost Reduction

25%

Weighting for FY 2017

For FY 2017, the TPS will be re-weighted proportionately to the scored domains for hospitals with at least three (3) out of four (4) domain scores. The TPS will be scored out of a possible 100 points, and the relative weights for the scored domains will remain equivalent.

For example, when a hospital meets the minimum case and measure requirements for the Clinical Care -Process subdomain, Safety domain and Efficiency and Cost Reduction domain but does not meet the minimum case requirements for the Clinical Care – Outcomes subdomain and the Patient- and Caregiver-Centered Experience of Care/Care Coordination domain, the weighting will be reallocated to the remaining applicable domains.

FY 2018 Scoring

FY 2019 Scoring

Domain

Weight

Clinical Care

25%

Person and Community Engagement

25%

Safety

25%

Efficiency and Cost Reduction

25%

Weighting for FY 2018 and FY 2019

For FY 2018 and FY 2019, the TPS will be re-weighted proportionately to the scored domains for hospitals with at least three (3) out of four (4) domain scores. The TPS will be scored out of a possible 100 points, and the relative weights for the scored domains will remain equivalent.

For example, when a hospital meets the minimum case and measure requirements for the Clinical Care domain, Safety domain and Efficiency domain but does not meet the minimum case requirements for the Patient- and Caregiver-Centered Experience of Care/Care Coordination (FY 2018)/Person and Community Engagement (FY 2019) domain, the weighting will be reallocated to the remaining applicable domains.

As noted above, the FY 2018 and FY 2019 scoring is based on each of the four domains weighted equally at 25 percent each. Therefore, in the previous example the reallocation of weighting would be as follows:

Clinical Care = 33.3%

Safety = 33.3%

Efficiency and Cost Reduction = 33.3%

The formula to calculate the re-weighting of the measures is as follows:

Original weight of each remaining domain ÷ total weight of remaining domains x 100